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髂前上棘骨髓腔穿刺建立输液通道急救低血容量性休克的效果观察

Observation on the effect of bone marrow cavity puncture of the anterior superior iliac spine in the establishment of the transfusion channel for the treatment of hypovolemic shock

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【作者】 马文芳

【Author】 Ma Wenfang;Department of Emergency,the Sixth People’s Hospital of Chengdu City;

【机构】 成都市第六人民医院急诊科

【摘要】 目的:探讨抢救低血容量性休克患者时采用髂前上棘骨髓腔穿刺建立输液通道的效果。方法:比较常规行浅静脉穿刺或深静脉置管方法组和经髂前上棘骨髓腔穿刺建立输液通道组之间在抢救低血容量性休克患者时的急救效果。结果:在低血容量性休克患者中,经髂前上棘骨髓腔穿刺建立输液通道组在从抢救至血压回升时间及输液通道建成时间明显短于常规组(P<0.05)。结论:在抢救低血容量性休克患者中,采用经髂前上棘骨髓腔穿刺建立输液通路比常规建立静脉通路更快速、安全、有效。

【Abstract】 Objective:To explore the effect of using the anterior superior iliac crest bone marrow cavity to establish the transfusion channel in the treatment of patients with hypovolemic shock.Methods:We compared the effect of the routine superficial vein puncture or deep vein catheterization group and the bone marrow cavity puncture through anterior superior iliac spine group in the treatment of patients with hypovolemic shock.Results:In the patients with hypovolemic shock,the time of recovery to the blood pressure and the time of completion of the establishment of transfusion channel group by bone marrow cavity puncture of anterior superior iliac spine was significantly shorter than that of the conventional group(P<0.05).Conclusion:In the treatment of patients with hypovolemic shock,it is faster,safer and more effective to set up an infusion route through the anterior superior iliac bone marrow puncture than routine venous access.

  • 【文献出处】 中国社区医师 ,Chinese Community Doctors , 编辑部邮箱 ,2017年14期
  • 【分类号】R459.7
  • 【被引频次】1
  • 【下载频次】82
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